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Why Does My Stomach Hurt Every Day? 23 Possible Causes
Nearly everyone has had a stomachache at some point. If your stomach hurts every day, you may wonder: Is it normal to have stomach pain every day? Stomach pain may be due to factors like certain medications you're taking, gluten or lactose intolerance, irritable bowel syndrome (IBS), or stress.
Stomach trouble can be short-lived, come and go, or show up only after you eat, all of which are clues to the cause. Here's what you need to know about stomach pain, possible causes, and when to see a healthcare provider.
There are different types of stomach pain you might experience. They include: Colicky pain: Severe pain that starts and stops, coming in waves Cramping pain: Pain that may be related to gas or bloating Generalized pain: Belly pain that's felt in more than half of your belly Localized pain: Belly pain that's in one area Referred pain: Pain that occurs away from its source Somatic pain: Localized, sharp pain caused by irritation from inflammatory processes like infections Visceral pain: Dull, nauseating, vague pain related to bloating and muscle contraction in the abdominal area Exposure to some things, such as medication or environmental factors, can lead to stomach pain. Temporary conditions can cause stomachaches, as well. 1. Appendicitis Appendicitis is an inflammation of the appendix. Most people with appendicitis have sudden severe pain that warrants a visit to the emergency room. Appendicitis usually starts with pain on the right side of the abdomen, which slowly worsens. "A telltale sign is pain when you bend your leg because it's pulling a muscle near your appendix as you make that motion," Patricia L. Raymond, MD, an assistant professor of clinical internal medicine at Eastern Virginia Medical School, told Health. Seek immediate medical attention if you suspect appendicitis. The appendix could burst, leading to long-term hospitalization and a potentially life-threatening infection known as peritonitis. A healthcare provider might want to remove your appendix, which is a surgical procedure. 2. Constipation Constipation happens if a blockage or change in your diet causes your small or large intestines to be unable to move waste along. Constipation is a common symptom when people have problems passing stool and less than three weekly bowel movements. Constipation can lead to abdominal pain, bloating, nausea, and vomiting. A healthcare provider might advise changing your diet and activity if constipation does not go away. They may suggest further treatment if lifestyle changes do not help. 3. Food Poisoning Food poisoning from viruses or bacteria can cause stomachaches, diarrhea, and vomiting. Rarely, food poisoning can be severe and cause a fever higher than 102 degrees Fahrenheit, dehydration, and blood in the stool. Generally, food poisoning is common, and there are several national outbreaks each year in the United States. Symptoms can begin within a few minutes to a week or more after consuming spoiled food. The duration of symptoms depends on the type of bacteria or virus you consume. Symptoms often resolve on their own. Consult a healthcare provider if symptoms become severe or persist for several days. 4. Gastritis Gastritis causes inflammation of the stomach lining, leading to nausea and vomiting. If untreated, gastritis may cause gastric ulcers and bleeding. There are several causes of gastritis, such as: Alcohol Autoimmune diseases Helicobacter pylori NSAIDs Smoking A healthcare provider can help identify the type of gastritis you have. Treatment, which often includes medication, depends on the kind of gastritis. 5. Kidney Stones Kidney stones are crystalized mineral and salt deposits that form if your urine concentrates. Kidney stones cause pain when they move through the urinary system. Usually, the pain occurs in the lower back and can radiate to the lower abdomen or groin, Jacob Skeans, MD, a gastroenterologist at The Ohio State University Wexner Medical Center, told Health. Other kidney stones symptoms include: Blood in the urine Burning while urinating Chills Fever Painful urination Urine that smells or appears cloudy Vomiting "Many [kidney stones] can pass spontaneously with hydration. Rarely, more invasive urologic procedures are needed to break up or remove stones," said Dr. Skeans. However, lifestyle changes and medication can also help prevent or avoid kidney stones. 6. Medications Medications are a common cause of stomach pain. Some medications can irritate the stomach or slow down how fast it empties, causing discomfort. Common medications that cause stomachaches include: Antibiotics: Specifically, antibiotics containing azithromycin can irritate the stomach. A healthcare provider may advise that you only take antibiotics after eating to avoid discomfort. Narcotic and blood pressure medications: These relax the stomach walls and allow food to sit and ferment in your stomach, which may cause nausea. Nonsteroidal anti-inflammatory drugs (NSAIDs): Ibuprofen and aspirin may cause stomach lining swelling or lead to ulcers. Oral bisphosphonates: These help preserve bone density and prevent osteoporosis. Oral bisphosphonates may cause swelling and pain in the lower esophagus, Vivek Kaul, MD, a professor of medicine in the gastroenterology and hepatology division at the University of Rochester Medical Center, told Health. Consult a healthcare provider if certain medications are causing stomachaches. They may advise that you take medicines with food or switch to a different one that does not upset your stomach. 7. Parasites Parasitic worms or microbes can occasionally cause stomach pain. Common parasites that cause stomachaches include Giardia and Cryptosporidium. People ingest those parasites while swimming in contaminated pools or lakes or drinking contaminated water or beverages. Parasites attach to the stomach lining or hang out in the small intestine or colon, causing symptoms like cramps, diarrhea, and nausea. Symptoms typically begin about two to 10 days (for Cryptosporidium) or one to three weeks after exposure (for Giardia). Symptoms usually clear up with a lot of hydration and a little help from over-the-counter (OTC) anti-diarrheal medicine. A healthcare provider may prescribe medications if your symptoms persist. 8. Pelvic Inflammatory Disease Pelvic inflammatory disease (PID) is a bacterial infection of the fallopian tubes, uterus, or ovaries. PID may cause pain underneath the belly button, said Dr. Raymond. Sexually transmitted infections (STIs), such as gonorrhea and chlamydia, can cause PID. You can help prevent PID by practicing safe sex and using condoms. Other, less likely but possible, causes of PID include intrauterine devices (IUDs), which can disrupt the cervix and cause bacteria to form. PID can cause scarring of fallopian tubes and increase the risk of infertility. Consult a healthcare provider right away if you experience symptoms like fever, vomiting, or signs of fainting. A healthcare provider can treat PID by prescribing antibiotics. However, antibiotics cannot reverse any damage. 9. Stress Stress can cause stomachaches, headaches, high blood pressure, and insomnia. Stress can cause or worsen digestive problems, pain, and health conditions like irritable bowel syndrome (IBS). To reduce stress, try some of the following tips: Avoid addictive substances and behaviors (e.G., smoking and alcohol). Connect with others. Eat a healthy diet. Exercise regularly. Get enough sleep. Make time to unwind. 10. Sugarless Gum Consuming too much sorbitol in some sugar-free products can cause pain and diarrhea. "Sorbitol goes into your GI tract. Since your body can't absorb it, it gets to the bacteria in your colon, which eat it and produce gas and fluids that contribute to diarrhea," explained Dr. Raymond. According to a case study published in 2019, consuming more than 20 grams of sorbitol daily could lead to digestive issues. For example, chewing a pack of Trident gum with 16–18 sticks, at 1.25 grams of sorbitol per stick, would put you at or over that limit. Still, you can cut back on the amount of gum you chew to treat stomachaches due to sugar-free gum. 11. Ulcers Peptic ulcers are sores in the stomach and duodenum, or the first part of the small intestine. NSAIDs and Helicobacter pylori, a type of bacteria, can cause ulcers. Peptic ulcers are a common cause of stomachaches. Peptic ulcers can cause burning pain in your mid-upper abdominal area, often striking after eating. Some peptic ulcers can be painful enough to wake you in the middle of the night. A healthcare provider might prescribe antibiotics and acid-suppressing drugs to treat ulcers caused by bacteria. The acid-suppressing medication will help you feel better for the time it takes for the antibiotics to get rid of the bacteria. Some chronic diseases, such as those affecting the digestive system or thyroid, may cause stomachaches. 12. Cancer Though rare, certain cancers, such as stomach and colorectal cancers, can cause stomachaches. Symptoms of stomach or colorectal cancers may include: Blood in stool Diarrhea Recurring stomach cramps or discomfort Unexplained weight loss Talk with a healthcare provider about your symptoms if any of those symptoms persist for a long time. They can order tests that help rule out cancer. 13. Cholecystitis Cholecystitis causes inflammation of the gallbladder. A gallstone can get caught in the cystic duct, blocking drainage and causing infection, explained Dr. Skeans. Cholecystitis can cause intense symptoms like right upper abdominal pain, fever, nausea, and vomiting. Often, cholecystitis requires surgery. Many factors up the risk of gallstones and cholecystitis, including: Birth control pills Certain medications Chronic liver disease Obesity Pregnancy Rapid weight loss Severe illness 13. Diverticulitis Diverticulitis is an inflammation of the diverticula, or pockets in the colon's lining. Symptoms can include lower abdominal cramps, which may respond to antibiotics. In severe cases, diverticulitis can cause abscesses, bleeding, and perforations. Those symptoms may cause severe pain or require surgery and hospitalization. Consult a healthcare provider for a diagnosis and treatment plan. In mild cases, a high-fiber diet can help. 14. Endometriosis Endometriosis occurs when tissue that normally lines the inside of the uterus migrates outside the uterus, usually to the fallopian tubes and ovaries. Endometriosis causes severe pelvic pain, abnormal menstrual bleeding, and infertility. Endometriosis can be difficult to diagnose and requires laparoscopic surgery to confirm. Often, healthcare providers recommend medications, like NSAIDs, or birth control pills, to alleviate painful symptoms. 15. Gallstones Gallstones form in the gallbladder, a tiny sac hanging out under the liver, expelling bile as needed to digest fats. Gallstones are hard, pebble-like materials that develop in your gallbladder, typically made of cholesterol or bilirubin. Gallstones can cause swelling and block the duct into the intestine, causing stomachaches. Typically, pain strikes the right side of the upper abdomen, particularly after eating high-fat foods. Those foods can trigger the gallbladder to contract. "If the gallbladder is inflamed, any contraction of that nature will be amplified and typically will cause pain to the patient," explained Dr. Kaul. 16. Gastroesophageal Reflux Disease Gastroesophageal reflux disease (GERD) can cause pain in the upper stomach and lower chest, known as heartburn. A weak valve separating the stomach from the esophagus typically causes GERD. A weak valve allows food and acid from the stomach to splash upward. Overeating or consuming the wrong type of food (e.G., fatty or spicy foods) can worsen GERD. Instead, to treat GERD, a healthcare provider may advise treatments, like: Losing weight if you have excess weight or obesity Taking medications, such as antacids, H2 blockers, and proton pump inhibitors Watching what you eat 17. Gluten Intolerance Some people react poorly to gluten, a protein found in wheat, barley, and rye. Celiac disease, an autoimmune disease, is a severe form of gluten intolerance. Gluten intolerance and celiac disease can cause gas, bloating, mild-to-severe pain, and fatigue. The small intestine's inability to absorb nutrients may lead to chronic diarrhea, weight loss, and malnutrition, too. See a healthcare provider for diagnosis and treatment. Commonly, treatment includes dietary changes. 18. Hernia A hernia happens when an internal organ or fatty tissue pokes through a muscle or connective tissue. There are many different types, all of which often cause stomachaches, explained Dr. Skeans. For example, an external hernia usually feels like a constant dull, aching pain. In contrast, a hiatal hernia may cause heartburn, indigestion, regurgitation, and upper abdominal or chest pains. Talk with a healthcare provider if you suspect you have a hernia. Usually, hernias require surgery to treat. 19. Inflammatory Bowel Disease Inflammatory bowel disease (IBD) causes small or large intestine inflammation, leading to painful gastrointestinal (GI) symptoms. IBD includes Crohn's disease and ulcerative colitis. IBD can cause scarring and blockage, which may cause stomachaches, diarrhea, and rectal bleeding. Symptoms are long-lasting but can flare up and subside in cycles. People with IBD must monitor their condition closely, as it can lead to severe complications. Consult a healthcare provider about managing IBD and its symptoms, including stomachaches. 20. Irritable Bowel Syndrome Irritable bowel syndrome (IBS) symptoms often include stomachaches. IBS also causes changes in bowel movements, such as diarrhea and constipation. A healthcare provider can diagnose IBS by examining your personal and family health history and ordering tests. They can help you manage IBS by suggesting lifestyle changes, such as dietary changes. Sometimes, relaxation techniques like medication. 21. Lactose Intolerance About 65% of people worldwide cannot digest lactose properly. Lactose intolerance causes mild to severe abdominal pain. Other lactose intolerance symptoms include: Bloating Diarrhea Gas Indigestion Symptoms usually occur within 30 minutes to two hours of consuming lactose. A healthcare provider can order a test if you are unsure if you have lactose intolerance. If so, they will likely advise skipping dairy products and being wary of packaged foods with hidden milk products. You might also try Lactaid milk or OTC remedies. 22. Pancreatitis Pancreatitis is a severe condition that causes burning pain in the upper or middle abdomen. The pancreas is a large gland behind your stomach that releases digestive acids into your intestines. Pancreatitis happens if those digestive enzymes start digesting the pancreas. Some people even have shooting pain that drives right through to their back, said Dr. Kaul. Other symptoms include nausea and vomiting. Too much alcohol can be a culprit, noted Dr. Kaul. Gallstones that block the duct that the pancreas sends its enzymes through can also cause pancreatitis. Pancreatitis can lead to hospitalization. A healthcare provider treats pancreatitis with intravenous (IV) fluids, antibiotics, and pain medications. 23. Thyroid Problems The thyroid, a butterfly-shaped gland in the middle of the neck, can cause stomachaches. The thyroid is responsible for regulating bodily functions, including digestion. For example, hyperthyroidism (an overactive thyroid) can speed up the digestive system, causing frequent bowel movements and stomachaches. In contrast, hypothyroidism (an underactive thyroid) slows down the digestive tract, leading to constipation and gas that causes stomach cramps. In either case, a healthcare provider can help find the cause of stomach pain or order testing if needed. You might also experience stomach pain for other reasons, such as: Bowel blockages or obstructions Decreased intestinal blood supply Ectopic pregnancy Muscle strains Ruptured ovarian cysts Severe menstrual cramps Urinary tract infections (UTIs) You'll need to seek medical care as soon as possible if you have sudden, sharp stomach pain. Stomach pain is also serious if you have the pain and: Are pregnant or could be pregnant Are undergoing cancer treatment Bloody vomit or stool Chest, neck, or shoulder pain Difficulty breathing Inability to pass stool but also vomiting Nausea accompanied by pain in or between your shoulder blades A recent abdominal injury To find out more about your pain, a healthcare provider will ask you questions like: What's the type of pain you have? How intense is it? Have you had similar pain before? How long did it last? What helps or worsens your pain? When does the pain occur (e.G., after eating, during your period)? Where your pain is located? Various health conditions can cause stomach pain, ranging from short-term illnesses to chronic diseases like IBS and certain cancers. Certain foods can cause stomachaches as well. Consult a healthcare provider for help and treatment options if you are unsure about the cause of your stomach pains.Everything You Should Know About Chronic Appendicitis
Chronic appendicitis is a rare medical condition. It can be difficult to diagnose because the symptoms may come and go, and they can also be mild.
The most common symptom is abdominal pain. The likely cause is inflammation or an obstruction in your appendix. It's important to get the correct diagnosis because chronic appendicitis can be life-threatening in some cases.
Read on to learn more about this condition.
The symptoms of chronic appendicitis may be mild. In some cases, abdominal pain is the only symptom with chronic appendicitis. The pain is usually in the lower right side of the abdomen. It may also appear near the belly button and move to the lower right side of the stomach in some cases. The pain can vary from sharp to dull, but it's more common for it to be dull.
Other symptoms of chronic appendicitis include:
Some people might also experience nausea or diarrhea. Symptoms may come and go, which can make the condition more difficult to diagnosis.
If you have any of these symptoms and they continue to become more severe, consider going to the doctor. They may be a sign of a serious medical problem.
Chronic appendicitis and acute appendicitis are sometimes confused. In some cases, chronic appendicitis isn't diagnosed until it becomes acute appendicitis.
Chronic appendicitis can have milder symptoms that last for a long time, and that disappear and reappear. It can go undiagnosed for several weeks, months, or years.
Acute appendicitis has more severe symptoms that appear suddenly within 24 to 48 hours. Acute appendicitis requires immediate treatment.
The cause of chronic appendicitis is often unknown. Inflammation and obstruction of the appendix are sometimes the cause.
Other possible causes of chronic appendicitis include:
When you have an obstruction or inflammation in your appendix, it can allow bacteria to grow and multiply. In chronic appendicitis, the obstruction may be partial.
It's not clear if you can do anything to prevent chronic appendicitis. Eating a diet rich in fiber may lower the risk of appendicitis, but research on diet, nutrition, and eating patterns for the prevention of chronic appendicitis is inconclusive. High-fiber foods include whole grains, vegetables, and fruits.
Diagnosis of chronic appendicitis can be difficult. To diagnose your condition, your doctor will begin by doing a physical exam, and discussing your symptoms and medical history. Symptoms of chronic appendicitis are similar to symptoms of other medical conditions, so your doctor will likely run tests to rule out other conditions. These may include:
Some conditions that share similar symptoms with chronic appendicitis, and which your doctor may be trying to rule out, include:
Your doctor will provide you with a specific treatment plan. It's important to follow all the instructions and take any medication as recommended. Sometimes antibiotics are used to treat chronic appendicitis. Your doctor may also drain the pus that forms in your appendix.
The most common treatment for chronic appendicitis is an appendectomy, which is surgery to remove the appendix. That can be done using laparoscopic surgery or laparotomy. Laparoscopic surgery has fewer complications and uses smaller incisions. A laparotomy is abdominal surgery through one incision.
Discuss surgery options with your doctor, and ask them which type they recommend and why.
Several complications can develop because of chronic appendicitis. It's important to get immediate treatment and follow all of your doctor's recommendations to reduce their risk.
The most common complications of chronic appendicitis include:
It's important not to ignore your symptoms and to get medical help. The complications of appendicitis can be life-threatening. A ruptured appendix can spread an infection throughout your body. If this isn't treated immediately, it can be very dangerous.
Learn more: Emergency signs and symptoms of appendicitis »
Chronic appendicitis is different from acute appendicitis. The symptoms of chronic appendicitis tend to be milder. Abdominal pain is the most common symptom of this condition.
It's easy to confuse chronic appendicitis with other medical problems. However, it's important to get the right diagnosis. Serious complications can develop from chronic appendicitis if it's left untreated.
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